Day Camp 2019 Registration

June 24-28. 9 AM - 3 PM |
Thank you for your interest in Day Camp 2019 at PCM!

General Information

Our Day Camp will be from 9 AM - 3 PM on Monday, June 24th to Friday, June 28th and is for PreK - 5th Grade. Kids will be dropped off in Webb Chapel (Our older Chapel on the corner of Green and Wilmer) each day for registration and picked up in the same location. Each child will need a packed lunch. Snacks and drinks will be provided by the church. The cost of Day Camp is $200 per child with a maximum cost of $500 per family.

Parent or Guardian's Name

Email

This address will receive a confirmation email

Phone

Address

Emergency Contact's Name

Emergency Contact's Number

Additional Emergency Contact's Name

Optional

Additional Emergency Contact's Number

Optional

Please list anyone besides the parent/guardian of the camper(s) who might be dropping off or picking up.

Optional

Camper Information

Please list the Camper's Name, Date of Birth, Grade just completed, and Allergies. For more than 1 child, please separate with a line break.

Is there anything specific about your child or children that would be helpful for our staff or counselors to know?

Optional

Payment

1 Child ($200.00)
2 Children ($400.00)
3+ Children ($500.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 24-28. 9 AM - 3 PM
Thank you for your interest in Day Camp 2019 at PCM!